Garudaya Private Limited - Enterprise 5-Page Portal

🌱 Garudaya Partner Portal

Verified Partner Registration & Compliance Desk

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Office Registry

Registration Number

Date of Registry

Onboarding Category

Registration Type

Business Structure

Registration Fee Payment Details

Registration Fee Paid (पंजीकरण शुल्क ₹)

Payment Mode (भुगतान का प्रकार)

Transaction ID / Reference Number

Payment Date

Personal Information

Full Name (पूरा नाम)

Father's Name (पिता का नाम)

Date of Birth (जन्म तिथि)

Gender (लिंग)

Mother Tongue (मातृभाषा)

Marital & Family Setup

Marital Status (वैवाहिक स्थिति)

Spouse Name (पति/पत्नी का नाम - यदि लागू हो)

Contact Information

Mobile Number (Primary)

Alternate Mobile

Personal Email

Office Email / Web URL

Emergency Contact Details (आपातकालीन संपर्क)

Contact Person Name

Mobile Number

Relationship with Applicant

Permanent Address (स्थायी पता)

House/Plot No & Village

GP / Block

District

Pin Code (Permanent)

Business/Office Address (कार्यालय)

House/Plot No & Village

GP / Block

District

Pin Code (Office)

Agricultural Mapping

Total Cultivated Land (Acres)

Tehsil (तहसील)

Mouza (मोजा)

Khata / Patta Ledger No

Plot / Khesra / Chalta No

Irrigation Model

Primary Crops Produced

Soil & Water Parameters (मिट्टी/जल विवरण)

Soil Type (मिट्टी का प्रकार)

Soil Health Card Number (SHC No)

Primary Water Source (जल स्रोत)

Farming Experience (खेती का अनुभव - वर्षों में)

Nominee Setup

Nominee Full Name

Relationship Status

Nominee Age

Nominee Mobile Number

Banking & Settlement Profile

Account Holder Name

Bank Institution Name

Branch Name

Bank Account Number (बैंक खाता संख्या)

IFSC Code (11 Char)

MICR Routing Code (9 Digits)

Type of Account

Financial Credit Profile (ऋण विवरण)

Existing Kisan Credit Card (KCC) Limit (₹)

Outstanding Agri Loan Status (बकाया ऋण)

Storage & Logistics Setup

Farming Storage Capacity (MT / मीट्रिक टन)

Nearest APMC Mandi / Sourcing Center

Preferred Mode of Transport

Business References (व्यावसायिक संदर्भ)

Reference 1 - Full Name

Reference 1 - Contact Mobile Number

Reference 2 - Full Name

Reference 2 - Contact Mobile Number

Government Identity Tokens

PAN Card Number (10 Char)

GSTIN Identifier (15 Char)

Aadhaar Card UID (12 Digit)

Form Endorsement Date

Endorsement Place

Endorsement Date

Endorsement & Photo Uploads

Passport Photo (Slot 1)

🌱 Click to upload Photo 1

Passport Photo (Slot 2)

🌱 Click to upload Photo 2

Applicant Signature (आवेदक का हस्ताक्षर)

🖋️ Click to Upload Applicant Signature

Onboarding Executive Signature (अधिकृत प्रतिनिधि का हस्ताक्षर)

🤝 Click to Upload Executive's Signature

Official Corporate Authorizations

Director / Authorized Officer Signature

🖊️ Click to Upload Director's Signature

Official Corporate Stamp / Seal (कंपनी की मोहर)

🏢 Click to Upload Company Stamp

🔴 Live Form Preview (A4 Size)

GARUDAYA PRIVATE LIMITED

CIN: U70200OD2026PTC052687 · GSTIN: 21AAAMCG8159P1ZX
Registered Office: C/O Sabita Jena Nuagam, Dasamundali, Sheragada, Aska, Ganjam – 761106, Odisha, India
Contact No: +91-9274093514 | Email: info@garudaya.in | Website: garudaya.in

🏢 FOR OFFICE USE ONLY / केवल कार्यालय के उपयोग के लिए

Registration No:	Registration Date: / /
Verified By (Name & Code): _________________	Status: Approved Pending Rejected
KYC Status: ☐ Pending ☐ Submitted ☐ Verified ☐ Rejected	Video Verification: ☐ Pending ☐ Completed Ref: __________

FARMER, SELLER & AGRIBUSINESS PARTNER REGISTRATION, COMPLIANCE & SECURITY AGREEMENT

1. REGISTRATION CATEGORY & USER TYPE उपयोगकर्ता की श्रेणी

FARMER (किसान)

VENDOR / SUPPLIER (आपूर्तिकर्ता)

BUSINESS PARTNER (व्यापार भागीदार)

2. BUSINESS STRUCTURE व्यावसायिक संरचना

No Registered Business (Individual / Traditional / पारंपरिक किसान)

Registered Business (Proprietorship / Partner Firm / LLP / Pvt Ltd)

☐ I consent to onboarding/order updates on my registered mobile or email. ☐ I will keep my profile current.
☐ I authorise permitted nominee contact for verification/support. ☐ Marketplace access requires final approval.
Applicant notes / preferred support language: ________________________________________________________________

3. PERSONAL PROFILE DETAILS व्यक्तिगत विवरण

SIGNATURE ACROSS PHOTO

PASTE PASSPORT
SIZE PHOTO 1

Please paste recent passport size photographs.
Sign across both the photos in such a manner that a part of signature remains on the photo and a part on the form.

SIGNATURE ACROSS PHOTO

PASTE PASSPORT
SIZE PHOTO 2

Full Name पूरा नाम (स्पष्ट अक्षरों में)

Father's Name पिता का नाम

Date of Birth जन्म तिथि (DD/MM/YYYY)

Gender लिंग

Male

Female

Other

Marital Status वैवाहिक स्थिति

Married

Single

Spouse Name पति/पत्नी का नाम

Mother Tongue मातृभाषा

4. CONTACT & COMMUNICATION DETAILS संपर्क विवरण

Mobile (Primary) प्राथमिक मोबाइल संख्या

Alternate No वैकल्पिक संपर्क संख्या

Personal Email ID व्यक्तिगत ईमेल पता

Office Email / Website कार्यालय ईमेल / वेबसाइट

4.1 EMERGENCY CONTACT DETAILS आपातकालीन संपर्क विवरण

Contact Name संपर्क व्यक्ति का नाम

Relationship आवेदक से संबंध

Emergency Mobile No आपातकालीन मोबाइल संख्या

4.2 OFFICE CONTACT NOTES

☐ I consent to receive onboarding and order updates on my registered mobile/email.

☐ I will keep my contact and nominee details current.

☐ I authorise staff to contact my nominee only for permitted support or verification.

☐ I understand marketplace access is subject to final approval.

Applicant notes / preferred support language: ________________________________________________________________

4.2 OFFICE CONTACT NOTES & 4.3 COMMUNICATION CONSENT

☐ Applicant contact details checked against identity record.	☐ Preferred language recorded.
☐ Nominee contact permission confirmed.	☐ Marketplace access subject to final approval.
☐ Onboarding/order updates may be sent to registered mobile/email. ☐ Applicant will keep profile and nominee details current.
Applicant notes / preferred support language: ________________________________________________________________
Staff note / callback reference: ____________________________	Staff initials: __________ Date: __________
Physical file reference: _________________________________________________________________

☐ Applicant contact details checked against identity record. ☐ Preferred language recorded. ☐ Nominee contact permission confirmed.
Staff note / callback reference: _________________________________________________________________
Staff initials: ____________________ Date: ______________ File reference: ____________________

5. ADDRESS DETAILS पते का पूरा विवरण

Permanent Address (स्थायी पता):

House/Plot No & Village मकान/प्लॉट संख्या और गाँव

GP/Block ग्राम पंचायत / ब्लॉक

District जिला

State & Pin Code राज्य और पिन कोड

Odisha Pin:

Office / Business Address (कार्यालय का पता):

House/Plot No & Village मकान/प्लॉट संख्या और गाँव

GP/Block ग्राम पंचायत / ब्लॉक

District जिला

State & Pin Code राज्य और पिन कोड

Odisha Pin:

6. AGRICULTURAL & LAND DETAILS केवल किसानों/जमीन मालिकों के लिए

Total Land (Acres) कुल भूमि (एकड़ में)

Tehsil तहसील

Mouza मोजा / मौजा

Khata/Patta No खाता/पट्टा संख्या

Chalta / Khesra / Plot Number खसरा / प्लॉट संख्या

Type of Irrigation सिंचाई का प्रकार

Canal (नहर)

Borewell (नलकूप)

Rainfed (वर्षा आधारित)

Primary Crops मुख्य फसलें

6.1 SOIL HEALTH & CO-RELATED COORDINATES मृदा स्वास्थ्य एवं खेती अनुभव

Soil Type मिट्टी का प्रकार

Soil Card Number मृदा स्वास्थ्य कार्ड संख्या

Water Source जल उपलब्धता का स्रोत

Farming Experience खेती का अनुभव (वर्षों में)

7. NOMINEE DETAILS उत्तराधिकारी का विवरण

Full Name of Nominee नामित व्यक्ति का पूरा नाम

Relationship आवेदक से संबंध

Age of Nominee उत्तराधिकारी की आयु

Nominee Mobile No उत्तराधिकारी का मोबाइल नंबर

8. GOVERNMENT IDENTIFICATION & COMPLIANCE सरकारी पहचान प्रमाण पत्र

PAN Card Number पैन कार्ड संख्या (10 वर्ण)

GSTIN (If Applicable) जीएसटी नंबर (यदि लागू हो)

Aadhaar Card Number आधार कार्ड संख्या (12 अंक)

—

9. FULL BANK ACCOUNT DETAILS वित्तीय एवं बैंक खाता विवरण

Account Holder Name खाताधारक का नाम (पासबुक के अनुसार)

Bank Name बैंक का नाम

Branch Name शाखा का नाम

Bank Account Number बैंक खाता संख्या

IFSC Code आईएफएससी कोड (11 वर्ण)

MICR Code एमआईसीआर कोड (9 अंक)

Account Type खाते का प्रकार

Savings

Current

KCC Account

9.1 FINANCIAL CREDIT SUMMARY ऋण एवं केसीसी विवरण

Kisan Credit Card (KCC) Limit केसीसी ऋण स्वीकृत सीमा (₹)

Agri Loan Status पूर्व बकाया कृषि ऋण स्थिति

No Outstanding

Yes (बकाया है)

10. REQUIRED DOCUMENTS CHECKLIST आवश्यक स्व-सत्यापित दस्तावेज

Copy of PAN Card (पैन कार्ड की फोटोकॉपी)

Copy of Aadhaar Card (आधार कार्ड की फोटोकॉपी)

Copy of Bank Passbook First Page / Cancelled Cheque (पासबुक या निरस्त चेक)

Copy of Land Record / RoR / Parcha (जमीन के दस्तावेज / केवल किसान के लिए)

Copy of GST Certificate / Trade License (जीएसटी प्रमाण पत्र / यदि लागू हो)

10.1 DOCUMENT REVIEW & KYC EVIDENCE LOG

Evidence / document	Received	Verified	Reference / initials
Photo/identity, KYC evidence and bank proof	☐	☐	____________________
Staff clarification / exception notes	__________________________________________________

11. REGISTRATION FEES & COMPANY BANK ACCOUNT DETAILS पंजीकरण शुल्क एवं कंपनी बैंक खाता विवरण

🏢 Company Beneficiary Account / कंपनी का आधिकारिक बैंक खाता:

Account Holder Name (लाभार्थी का नाम):	GARUDAYA PRIVATE LIMITED
Bank Name (बैंक संस्थान):	State Bank of India (SBI)
Account Number (खाता संख्या):	45075184440
IFSC Code (आईएफएससी कोड):	SBIN0017539
Branch (शाखा):	MOHUPADAR VIA: SHERAGADA, DISTT: GANJAM
Registered Address (पंजीकृत पता):	As per Garudaya Private Limited registered company records
Contact Number (संपर्क नंबर):	+91-9040346654

Payment Submission Details (जमा किए गए शुल्क का विवरण):

Registration Fee Paid जमा किया गया शुल्क (₹)

Payment Mode भुगतान का प्रकार

UPI

Bank Transfer

Cash

Transaction ID / Ref No ट्रांजैक्शन आईडी / संदर्भ संख्या

Payment Date भुगतान की तिथि

11.1 STORAGE & LOGISTICS SUMMARY भंडारण, मंडी एवं लॉजिस्टिक्स विवरण

Storage Capacity भंडारण क्षमता (मीट्रिक टन)

Nearest Sourcing Mandi निकटतम एपीएमसी मंडी / केंद्र

Preferred Logistics परिवहन साधन व्यवस्था

Tractor / Trolley

Commercial Truck

No Vehicle (कोई वाहन नहीं)

12. DATA SECURITY, PRIVACY & PURPOSE POLICY डेटा सुरक्षा एवं गोपनीयता नीति

Data Retention and Verification Purpose: Garudaya Private Limited values the security and privacy of its farmers, sellers, exporters, vendors and business partners. The sensitive corporate, financial and personal information collected through this document is used for identity verification, compliance review, onboarding, fraud prevention, support and processing direct commercial settlements. All data submitted herein is protected using access controls appropriate to the record and is handled only by authorised staff, approved service providers and reviewers who need it for the stated business purpose. Garudaya does not use this registration record to claim government approval or to represent the applicant as a government-verified person.

Record area	Garudaya business purpose and control
Identity & KYC	Name, photo, identity references, KYC status and verification evidence are used to prevent impersonation, duplicate accounts and fraud. Full sensitive numbers should not be written in unsecured notes.
Farm & business	Farm, produce, licence, GST/PAN/IEC/FSSAI and ownership information is reviewed before profile or listing approval, quality checks and export support.
Bank & settlement	Bank details are matched to the approved applicant or entity and used only for authorised fees, refunds, order settlements and financial reconciliation.
Access & retention	Access is role-limited and logged where supported. Records are retained for onboarding, contractual, accounting, dispute, safety and legal requirements, then securely archived or deleted according to company retention procedures.
Applicant requests	For correction, access or privacy questions, contact the registered company email and quote the application or membership reference. Garudaya may verify authority before disclosing account-specific information.

Applicant Privacy Acknowledgement / आवेदक की सहमति

☐ I supplied information voluntarily and checked it for accuracy.

☐ I understand verification may require supporting evidence.

☐ I will notify Garudaya if my KYC, bank or licence details change.

☐ I will not share another person's identity or bank details without authority.

☐ I understand this record is for private commercial onboarding.

☐ I know how to request a correction using my application reference.

Applicant initials / date

Staff checked / date

Reference / file no.

13. TERMS, CONDITIONS & COMPLIANCE CHARTER नियम एवं शर्तें

Truthful application: The applicant confirms that identity, farm, produce, business, licence, tax and bank information supplied to Garudaya Private Limited is true, current and complete.
Direct-produce commitment: A farmer or seller may list only produce owned or legally authorised by them. Unauthorised third-party, counterfeit, unsafe or misrepresented goods must not be listed.
Verification and compliance: Garudaya may verify KYC, ownership, licences, food-safety records, quality, weights, packaging and export documents before approving a profile, listing or transaction. The applicant must maintain all permissions applicable to their activity.
Quality, fulfilment and rejection: Produce must match the declared grade, quantity and description. Garudaya may hold, reject or remove a listing that is unsafe, materially different, adulterated or non-compliant, subject to the applicable commercial terms.
Transparent settlement: Approved settlements are sent to the verified bank account declared in this form through supported banking channels. Fees, logistics, deductions, timelines, refunds and disputes follow the applicable Garudaya commercial terms shown to the applicant before confirmation.
Privacy and records: KYC, photographs, signatures, video verification and financial details are used for onboarding, fraud prevention, support, settlement and lawful business records, with access limited to authorised personnel and service providers.
Suspension and termination: Garudaya may pause verification, listings or settlement when information is incomplete, a compliance issue is identified, or fraud/unsafe goods are suspected. The applicant will be contacted for clarification where appropriate.
Private-company relationship: This form creates a private commercial onboarding relationship with Garudaya Private Limited. It is not a government certificate, subsidy approval or government endorsement.

13.1 PROFESSIONAL BUSINESS REFERENCES व्यावसायिक संदर्भ विवरण (रेफरेन्स)

Reference 1 - Name संदर्भ व्यक्ति 1 का नाम

Contact Mobile संदर्भ 1 मोबाइल संख्या

Reference 2 - Name संदर्भ व्यक्ति 2 का नाम

Contact Mobile संदर्भ 2 मोबाइल संख्या

14. APPLICANT DECLARATION & PHYSICAL SIGNATURE घोषणा और हस्ताक्षर

I hereby declare that I have read, understood and accepted the Garudaya Private Limited farmer, seller and agribusiness partner onboarding rules, privacy terms, verification requirements, data retention policy, quality standards, settlement conditions and security obligations stated in this form. I sign this company agreement to request verified participation in Garudaya's private agriculture and direct-market workflows.

Date दिनांक

Place स्थान

Full Signature of Onboarding Executive / Representative (अधिकृत प्रतिनिधि / ऑनबोर्डिंग समन्वयक के हस्ताक्षर)

Full Endorsement / Stamp of Registered Partner (आवेदक/साझेदार का पूरा हस्ताक्षर या अंगूठे का निशान)

🏢 [ FOR OFFICE EXECUTIVE FINAL CLEARANCE LEDGER ]

Final Membership ID (13 characters, manual entry after approval): _ _ _ _ _ _ _ _ _ _ _ _ _ Issue date: __________
PAN Verification Link Check: Pass / Fail	Bank Account Validity Test: Pass / Fail
Land Records / RoR Cross Checked	All Physical Scanned Docs Uploaded

Compliance Officer / Director Signature

Authorized Corporate Stamp / Seal

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🎉 Onboarding Successful!